Breast Augmentation: Q&A
Ask a QuestionImplants Look Different, Can It Be Fixed?
I had a breast lift with saline implants placed under the muscle on 2/25/11.The left side has dropped and is perfect but the right side has always been high and a little tight on the bottom.About 12 wks after the surgery my PS started pressing on the implant to break scar tissue up.The implant has dropped a lot however the breast still looks stange compared to the left.My PS says surgery won't fix this and may make it look worse.Is this something that can be fixed with a pocket revision?
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18 Doctor Answers |
Asked by
bren1674
in Nashville, TN
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Asymetric breasts
Your pre-op pics show marked difference with your right breast having less tissue. Without examining you or knowing a little more information it's hard to determine exactly what is going on but just based on your pics I would have suggested a full lift with silicone implants vs saline. You may have early onset capsular contracture on the right but it may just be a function of skin vs the left breast. I don't think just a pocket revision would correct all your concerns. Best of luck.
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Asymmetry after breast implants,can it be fixed?
Asymmetry of breasts is quite common. You have different size breasts with different shapes to start with. Postoperatively there is a siginificant difference between the 2 breasts. This should be able to be improved with surgery. The 2 breasts will never look exactly the same but they can be made to look much more similar. You should consult with your surgeon and see what he has to say. If he is uncomfortable in proceeeding with surgery you should seek a second consult. Good luck!
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Breast Implant Asymmetry
Hello Bren,
You have capsular contracture, that is why your surgeon began pressing on it a few months ago. This technique of pressing, better known as closed capsulotomy is not recommended for many reasons, most importantly lack of efficacy. In other words, the contracture usually comes back, as it did for you.
A surgical procedure called a total open capsulectomy should be performed along with placement of a new implant to treat the problem completely and minimize...
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Breast Asymmetry After Surgery
It is possible to do a pocket revision to assist in improving the symmetry of the two breasts. One has to be very careful with the pocket dissection to prevent other issues (such as double bubble) so choose your surgeon wisely. No surgeon can ever guarantee perfection or have both breasts be identical - every patient is different in their starting point and how their body heals but I think your situation can be improved with revisionary breast surgery.
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Breast augmentation revision
There is insufficient information in your post to really answer your question. Your posted photos support your concerns regarding the right side. Since you are happy with the "perfect" left side the question really is how to make the right more like the left. It is clear that can only be achieved by surgery but it is not clear what the surgery exactly should be.
Since the breasts were asymmetrical before surgery it is impossible to make them exactly symmetric after surgery....
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Los Angeles Plastic Surgeon
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Asymmetry of Implants
Based on your pictures, you likely have a component of capsular contracture which likely require surgery to improve. However, I do not think that this is the only issue with your breasts. Based on your pre-op pictures and the post op pictures, it appears that you would have been better served with implant size and base diameter (width) which would more appropriate fit your anatomy. This can likely be significantly improved with revision surgery.
Good Luck.
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Revision agfter breast augmentation
Revision is definitely indicated and you can and should expect a much better and more natural result.
Your skin envelopes are asymmetric, suggesting the need for more aggressive tailoring of the skin (read: lift; mastopexy). I would certainly recommend exchanging the saline implants: gel implants are softer, more natural, more comfortable, and longer lasting.
If your original surgeon is unwilling to do this (why?) seek a few opinions from board certified...
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Implants Look Different, Can It Be Fixed?
Thanks for the photos posted. Yes they can be revised in a surgery, now. Over the internet I see multiple issues with your result. Best to obtain in person opinions from boarded surgeons in your area, like Drs Jack Fisher or Pat Maxwell.
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Breast asymmetries following a breast augmentation
There are several issues which have combined to give you the present result. First of all, you were both asymmetical and drooping prior to surgery with the left side lower than the right. These haven't been adequately corrected with surgery which apparently involved a peri-areolar mastopexy. A full (anchor shaped) approach would have provided you with a better shape, improved nipple size and position and greater symmetry.
It also appears that your right breast implant is too high and...
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Postoperative questions after breast lift/augmentation
In this photograph, the right implant is too high and the most likely reason is scar tissue formation around the implant (capsule). Releasing the capsule would improve the appearance. Also, the nipple position is asymmetric and should be corrected at the same time.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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